Understanding Abnormal Bowel Movements and Rectal Discomfort Symptoms
There is often a sensation of foreign objects after bowel movements, and the stool varies in thickness from thick to thin? Hello Doctor: Since January of last year, I have frequently experienced a feeling of heaviness and a foreign body sensation in my anus. Initially, I did not ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Whether further examination is needed can be determined by a clinical physician. If the clinical physician assesses that it is not necessary, but you still wish to understand your condition better, you may consider participating in a private advanced health check-up. Addit...[Read More] Understanding Abnormal Bowel Movements and Rectal Discomfort Symptoms
Is a Bulge to the Right of the Belly Button Normal? Expert Insights
The area to the right of the navel is more protruded? Hello doctor, I noticed that the area to the right of my navel has been more protruding since December of last year. It looks the same whether I am lying down or standing up, and it feels soft, similar to the area on the left,...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The organs in the abdominal cavity are not perfectly symmetrical, and there can be variations due to gas in the intestines or the positioning of the internal organs. However, it is still recommended to consult a gastroenterologist to determine if an abdominal ultrasound is...[Read More] Is a Bulge to the Right of the Belly Button Normal? Expert Insights
Causes of Bloating and Nausea: Insights from Gastroenterology
Bloating and nausea? Experiencing bloating and nausea can be attributed to several factors. Common causes include gastrointestinal issues such as gastritis, gastroesophageal reflux disease (GERD), or irritable bowel syndrome (IBS). Additionally, dietary factors like overeating, c...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: There are many possible causes, including gastritis, gastric ulcers, indigestion, constipation, or irritating foods, all of which can lead to similar symptoms. It is recommended to follow a light diet and avoid excessive intake of high-fat and high-protein foods. If dietar...[Read More] Causes of Bloating and Nausea: Insights from Gastroenterology
Understanding Hiccups and Acid Reflux: Gastrointestinal Insights
Hiccups with acidic liquid? I have been feeling unwell in various areas recently. For instance, the day before yesterday, I experienced palpitations, which I attributed to premenstrual syndrome since I had similar palpitations two to three times before my period. I decided to con...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Based on your description, it is possible that excessive stomach acid is causing discomfort. It is recommended to avoid tea (black tea/green tea/milk tea), coffee, spicy foods, fried foods, high-fat foods, high-protein foods, chocolate, and sweets. Being underweight or ove...[Read More] Understanding Hiccups and Acid Reflux: Gastrointestinal Insights
Comparing CT and EUS for Accurate Diagnosis of Pancreatic Tumors
The role of CT and EUS in the diagnosis of pancreatic tumors? Regarding the previous inquiry, I would like to ask the physician about the effectiveness of EUS in diagnosing pancreatic tumors compared to other methods. Does EUS provide clearer detection of pancreatic tumors or can...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Usually, pancreatic lesions are first detected through a CT scan or MRI, after which an endoscopic ultrasound (EUS) is arranged for closer observation of the lesions (to differentiate between solid lesions and cystic lesions). If a CT scan or MRI does not reveal any abnorm...[Read More] Comparing CT and EUS for Accurate Diagnosis of Pancreatic Tumors
Choosing Between Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound for Biliary Issues
Biliary and pancreatic examination I would like to ask the doctor which method is more suitable for examining biliary and pancreatic issues: 1. Endoscopic retrograde cholangiopancreatography (ERCP) or 2. Endoscopic ultrasound (EUS)? What are the major differences between the two?...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. Endoscopic Retrograde Cholangiopancreatography (ERCP) is primarily used to diagnose the dilation or narrowing of the bile duct/pancreatic duct, as well as to identify any intraductal tumors. It can also be used to remove stones from the bile duct. 2. Endoscopic Ultrasou...[Read More] Choosing Between Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound for Biliary Issues
Understanding Oily Residue on Toilet Paper After Bowel Movements
Wiping after a bowel movement with toilet paper shows signs of oil? After each bowel movement, when I throw the toilet paper used for wiping into the water, I notice some oily strands floating on the surface. However, before throwing in the toilet paper, I don't see any oil ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is advisable to monitor the situation further, as most cases are caused by excessive intake of high-fat foods. Additionally, if the issue persists for a long time, it may be necessary to consider whether there are problems with the gallbladder or pancreas that are preve...[Read More] Understanding Oily Residue on Toilet Paper After Bowel Movements
Understanding Right Lower Abdominal Pain: Causes and Diagnostic Approaches
Right-sided abdominal pain inquiry? Hello Dr. Tsai, I would like to ask you a more detailed question. I appreciate your response. Last year, I experienced discomfort about 3 to 4 times in the same area (right lower abdomen to the pelvic region, with soreness, bloating, and a feel...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: To diagnose Crohn's disease, an endoscopy with biopsy is necessary to confirm the diagnosis. Whether it is Crohn's disease also requires the clinical judgment of a physician, who will arrange for further examinations. It cannot be diagnosed solely by CT or MRI. C...[Read More] Understanding Right Lower Abdominal Pain: Causes and Diagnostic Approaches
Understanding Abdominal Bloating: Causes and Concerns During Pregnancy
Abdominal bloating Question 1: When experiencing abdominal bloating, which part of the abdomen becomes enlarged, and does it feel hard or soft to the touch? Question 2: Is it normal to have three bowel movements in one day (which is unusual) due to abdominal pain, occurring in t...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. Bloating can produce a tympanic sound; if it is very distended, it may be hard, while if it is not very distended, it may be soft. 2. If diarrhea is present, the sensation of bloating may not necessarily be due to gas but could be discomfort caused by rapid intestinal m...[Read More] Understanding Abdominal Bloating: Causes and Concerns During Pregnancy
Can Liver Tumors Grow Rapidly? Understanding Ultrasound Findings
Ultrasound reveals a suspected liver tumor? I underwent an abdominal CT scan on December 2nd of last year (2021), which did not indicate any liver masses. However, during an abdominal ultrasound at another hospital on January 20th of this year (2022), two suspected liver tumors w...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: In terms of accuracy, the results of the CT scan should be considered. The high and low echoes observed in ultrasound can be affected by factors such as intestinal gas and fatty liver, so there is no need to worry too much at this point. You may want to consult your hepato...[Read More] Can Liver Tumors Grow Rapidly? Understanding Ultrasound Findings
Understanding Gallstones and Gastrointestinal Issues: A Patient's Journey
Intestinal dryness or gallstones? Hello doctor, I have a question that I hope you can patiently listen to. Over the past six months, I have seen four or five gastroenterologists and undergone various tests including gastroscopy, ultrasound, colonoscopy, X-rays, fecal occult blood...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. If it is related to the pancreas, issues should be detectable in previous imaging studies such as a CT scan. 2. Symptoms caused by gallstones typically occur after eating a large or fatty meal, or as abdominal bloating and pain 2-3 hours post-meal. Irritable bowel syndr...[Read More] Understanding Gallstones and Gastrointestinal Issues: A Patient's Journey
Understanding Liver, Gallbladder, and Pancreas Tests for Digestive Issues
Eating too much oily food can lead to diarrhea (check the liver, gallbladder, and pancreas systems)? Hello, doctor. Thank you for your response. You mentioned that we can check the liver, gallbladder, and pancreas system. Is this a standard examination available at all gastroente...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: You can visit the Gastroenterology and Hepatology department, where the physician will assess and arrange appropriate examinations. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Liver, Gallbladder, and Pancreas Tests for Digestive Issues
Understanding Abdominal Discomfort: Signs of Digestive Issues
Abdominal discomfort and pain? I've been experiencing abdominal discomfort and pain for the past couple of days, but I don't feel the urge to have a bowel movement. My bowel movements have decreased to just one or two times a week, and the stools are not very hard, but ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: There is no need to worry about colorectal cancer at this moment; instead, focus on improving constipation and retained stool. Consider your diet, hydration, intake of fruits and vegetables, and probiotics. If necessary, you may consult a gastroenterologist. Changhua Hospi...[Read More] Understanding Abdominal Discomfort: Signs of Digestive Issues
Understanding T-Tube Removal: Pain, Risks, and Recovery Insights
Bile drainage tube removal (T-tube) Will removing the T-tube be painful? Are there any risks involved?
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The removal of the drainage tube should be tolerable discomfort. There is no need to worry too much. If it is removed after 1-2 weeks, there is usually no significant risk (potential risks include bleeding and bile leakage into the abdominal cavity causing peritonitis). Ch...[Read More] Understanding T-Tube Removal: Pain, Risks, and Recovery Insights
Understanding Diarrhea and Bowel Changes: Stress and Dietary Impact
Recently, I may have been experiencing loose stools and diarrhea due to stress? Hello, Doctor! Recently, I've been worried about my eye condition, and I've started experiencing changes in my bowel movements. My stools have been watery, with colors varying between yellow...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. There is a correlation. 2. The color of watery stools being yellow or brown cannot be used to determine where the problem lies. 3. Reduce the intake of irritating foods. 4. Urgency and tenesmus. 5. Whether a colonoscopy is necessary should be determined by a clinical ph...[Read More] Understanding Diarrhea and Bowel Changes: Stress and Dietary Impact
Understanding Abdominal Discomfort: Insights on Gastrointestinal Issues
Abdominal issues? Hello Dr. Tsai, I have been experiencing gastrointestinal discomfort frequently this year (including multiple episodes of bloating, right lower abdominal tenderness, diarrhea, etc.), occurring approximately every three to four months. The recent symptoms include...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The probability of developing diseases in the small intestine is quite low. It is more important to consider whether there are any abnormalities in peristalsis or to recall if there has been any accidental ingestion of fish bones or other foreign objects. Additionally, it ...[Read More] Understanding Abdominal Discomfort: Insights on Gastrointestinal Issues
Managing Digestive Issues: Tips for Handling Greasy Foods
Eating too much greasy food can easily cause diarrhea? Hello, my gastrointestinal health has deteriorated over the past few years. Whenever I eat something too greasy, I experience diarrhea. Are there any medications that can help treat this condition? For example, something I ca...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you consume too much oily food, it can lead to diarrhea. The best approach is to avoid eating excessively oily foods. You may consider visiting a hepatobiliary and gastroenterology specialist to check if there are any issues with your liver, gallbladder, or pancreas. Ch...[Read More] Managing Digestive Issues: Tips for Handling Greasy Foods
Is It Cancer? Understanding When to Get a Colonoscopy
Could it be cancer? Is a colonoscopy necessary? Hello doctor, I have been experiencing abdominal bloating for the past five months, along with persistent belching and flatulence (each episode involves a significant amount of gas). I have sought medical attention numerous times du...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Is a colonoscopy necessary? It is recommended to be determined by a clinical physician. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Is It Cancer? Understanding When to Get a Colonoscopy
Understanding Changes in Stool: Is It a Sign of Rectal Cancer?
Fecal-related issues? Hello Doctor, I would like to inquire about the issue of stool narrowing caused by rectal cancer. I came across an article that mentioned that alternating between thick and thin stools could indicate the presence of a tumor in the intestines, which made me a...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Stool consistency is a nonspecific symptom of colorectal cancer and does not necessarily indicate a relationship with the disease. It is often more related to the types of food consumed or the amount of water intake. Changhua Hospital cares about your health. Dr. Tsai An-S...[Read More] Understanding Changes in Stool: Is It a Sign of Rectal Cancer?
Understanding Yellowish Mucus in Stool: Causes and Concerns
Stool with yellowish-white mucus? Hello doctor, I have been experiencing abdominal pain during bowel movements for the past few days. The pain subsides after I finish, but I have noticed yellowish-white mucus in my stool. Sometimes I have constipation, and other times I have loos...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: You can increase your intake of fruits and vegetables and maintain a light diet to see if your condition improves. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Yellowish Mucus in Stool: Causes and Concerns